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NPI Code Detail

MEDICARE: DR. MARK ALQUIZA MD

MEDICARE: DR. MARK ALQUIZA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianL9067TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3502302YLPSOTHERTXWELLMED PTAN

General Provider Information

NPI Number : 1578561338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ALQUIZA MD
Provider Business Mailing Address
First Line : 4700 W SAM HOUSTON PKWY N STE 220
Second Line :
City : HOUSTON
State : TX
Zip : 77041-8224
Country : US
Telephone Number : 713-402-7824
Fax Number : 713-570-0196
Provider Business Practice Location Address
First Line : 4700 W SAM HOUSTON PKWY N STE 220
Second Line :
City : HOUSTON
State : TX
Zip : 77041-8224
Country : US
Telephone Number : 713-402-7824
Fax Number : 713-570-0196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 06/24/2025

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